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46
Yes these are 'must know'.

47
Making a Business Plan / Re: 10 Steps to Starting a Business
« on: August 10, 2018, 10:01:22 PM »
It will be good for initial stage.But determination is very important for making success in bussiness.

48
The  American  Heart  Association  has  concluded  that depression can accelerate atherosclerosis as well as promote the onset and severity of the coronary risk factors of diabetes, hypertension, and high levels of low-density lipoprotein.The most important reason depression increases the risk for, or worsens outcomes in, cardiovascular disease, is its effects on lifestyle and compliance with recommended treatments. Depression has been shown to increase the risk of an unhealthy lifestyle,  including
smoking; diet higher in calories, salt, and saturated fat; and decrease in exercise and medication compliance. Each of these increases the risk of cardiovascular disease and worsens the outcome. The value of a healthy lifestyle and compliance with treatments can't be underestimated. The risk of myocardial infarction and strokes increases 10-fold in patients who do not follow their physicians recommendations, compared with those who do.

In fact, The prevalence of depression in patients with cardiovascular disease is threefold higher than that in the general population.

Source: https://www.amjmed.com/article/S0002-9343(16)30551-4/pdf

49
I think, it sometimes genetic transmitted and cannot be overcomed.

50
Mental health in health service delivery :

In the health system of Bangladesh, unfortunately, there is no specific authority or commission  to operate or supervise the mental health service nationwide and no day treatment facilities for mental health care either. To talk about specialized hospitals, there is only one mental hospital available in the country for a total of 0.4 beds per 100,000 population. So, most of the patients seeking mental health care are managed in the usual health care service delivery system. Depression, schizophrenia and mood disorders are the most prevalent mental disorders there.

If we magnify the mental health facilities in the context, there are 50 outpatient mental health facilities in the whole country and only 2 of them are for children and adolescents, which facilitates only 26 care seekers per 100,000 population. Apart from those, the number of community-based psychiatric inpatient units and community residential facilities are 31 and 11 respectively, which doesn’t even serve more than one person in every 100,000 population. National Institute of Mental Health (NIMH)  is the only coordinating body dedicated to public education and awareness campaigns on mental health and mental disorders. Though the number of beds in the lone mental hospital in Bangladesh has increased by 25% in the last five years, it is still scarce. Most of the admitted patients there suffer from schizophrenia and rest mostly from mood disorder . Sadly, although it is the only mental hospital of the country, there is no reservation for children and adolescents, whereas studies showed that 10-20% of children and adolescents experience signs of mental disorders globally and half of all mental illnesses begin by the age of 14, and three-quarters during the mid-20s.

 Barriers to mental health care seeking in Bangladesh:

There are a variety of factors inhibiting people to seek mental health care in Bangladesh, which both are dependent on individual, as well as societal factors. Social stigma, lack of relevant knowledge, and awareness seemed to play a major role. Most of neurotic patients do not prefer to consult or get admitted into psychiatric units due to social stigma, mental ward phobia, and poor maintenance of the working environment. Scarcity of health care facilities is another vital point, which is jeopardizing the mental health condition. Because of the limited resources and health care facilities, many people get deprived; accessibility and availability are two big issues there.

Inequity is profound at a large scale in the healthcare of Bangladesh. For example: distribution of beds is a barrier, which prevents the access for rural users and users from other religious, ethnic and linguistic minorities. A study showed that the density of psychiatrists around the largest city is 5 times higher than whole country.   In Bangladesh, health care services mostly depend upon out of pocket expenses, so does mental health care; only 0.1% patients get free services.  No mental disorder is covered in social insurance schemes either.

Mental health expenditures from government health department are less than 0.5%!!!. Moreover, around 67% of all the expenditures spent on mental health are devoted to mental hospitals and rarely for further research and mental health promotion. Considering human resources, in every 100,000 population, the accompanying number of human resources involved is only 0.49.
Whatever mental health services are there in South-East Asian regions, it is rounded of 0.00s comparing to the other parts of the world according to WHO-2005 global mapping of access to mental health services.

Source: https://www.snih.org/mental-health-care-bangladesh/

51
Outbreak of Nipah virus encephalitis in Kerala state of India

According to WHO report of South-East Asia,  On 19 May 2018, a Nipah virus disease (NiV) outbreak was reported from Kozhikode district of Kerala, India. This is the first NiV outbreak in South India. There have been 17 deaths and 18 confirmed cases as of 1 June 2018. The two affected districts are Kozhikode and Mallapuram. A multi-disciplinary team led by the Indian Government’s National Centre for Disease Control (NCDC) is in Kerala in response to the outbreak. WHO is providing technical support to the Government of India as needed. WHO does not recommend the application of any travel or trade restrictions or entry screening related to NiV outbreak.

Nipah virus disease is an emerging infectious disease spread by secretions of infected bats. It can spread to humans through contaminated fruit, infected animals, or through close contact with infected humans.

Source: http://www.searo.who.int/entity/emerging_diseases/links/nipah_virus/en/

54
Thanks for sharing common problems.

55
Reduce Fat /Weight Loss / Re: Diet Plan to Lose 8 kg weight in 7 days
« on: August 08, 2018, 08:49:04 PM »
Thank you Sir.

56
Useful post.

57
Good sharing.

58
Thanks for shari

59
In prctical, ir doesn't happen.

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